{"id":1318,"date":"2026-05-22T19:00:00","date_gmt":"2026-05-22T22:00:00","guid":{"rendered":"https:\/\/sevenresiduosaude.com.br\/blog\/?p=1318"},"modified":"2026-05-22T19:00:00","modified_gmt":"2026-05-22T22:00:00","slug":"mito-pgrss-problema-administrador-medico-nao-responde","status":"publish","type":"post","link":"https:\/\/sevenresiduosaude.com.br\/blog\/mito-pgrss-problema-administrador-medico-nao-responde\/","title":{"rendered":"Mito: PGRSS \u00e9 problema do administrador, n\u00e3o do m\u00e9dico"},"content":{"rendered":"<h2>A frase<\/h2>\n<p>&#8220;PGRSS \u00e9 coisa de administrador. Eu sou m\u00e9dico, atendo paciente, prescrevo. O administrador da cl\u00ednica resolve essa parte burocr\u00e1tica. N\u00e3o tenho nada a ver com isso.&#8221; Errado.<\/p>\n<h2>4 pontos onde a generaliza\u00e7\u00e3o falha<\/h2>\n<h3>1. Resolu\u00e7\u00e3o CFM 2.147\/2016 \u2014 corresponsabilidade t\u00e9cnica<\/h3>\n<p>Diretor T\u00e9cnico M\u00e9dico responde solidariamente com administrador. M\u00e9dico assistencial cumpre PGRSS sob pena de descumprimento dever legal (CLT art. 482 al\u00ednea h).<\/p>\n<h3>2. CRM julga conduta m\u00e9dica relacionada a PGRSS<\/h3>\n<p>Conselho Regional de Medicina recebe den\u00fancia de:<\/p>\n<ul>\n<li>Descarte irregular de agulha contaminada (acidente paciente seguinte)<\/li>\n<li>Prescri\u00e7\u00e3o sem orientar paciente sobre descarte de medicamento<\/li>\n<li>Manipula\u00e7\u00e3o inadequada de fluido biol\u00f3gico<\/li>\n<li>Rasgo de sigilo m\u00e9dico em livro RSS exposto<\/li>\n<\/ul>\n<p>Pena CRM: R$ 1.500-15.000 + suspens\u00e3o tempor\u00e1ria CRM + cassa\u00e7\u00e3o em casos graves.<\/p>\n<h3>3. Acidente perfurocortante \u2014 m\u00e9dico precisa saber<\/h3>\n<p>Em acidente com agulha contaminada, m\u00e9dico envolvido:<\/p>\n<ul>\n<li><strong>PEP HIV em <2h<\/strong> = janela de soroconvers\u00e3o<\/li>\n<li><strong>PEP HBV em <24h<\/strong> = vacina\u00e7\u00e3o + Ig<\/li>\n<li><strong>CAT INSS<\/strong> = direito trabalhista<\/li>\n<li><strong>SINAN<\/strong> = epidemiol\u00f3gica<\/li>\n<\/ul>\n<p>Sem conhecimento b\u00e1sico = perda da janela = soroconvers\u00e3o potencial = a\u00e7\u00e3o trabalhista contra cl\u00ednica.<\/p>\n<h3>4. Civil + criminal poss\u00edveis<\/h3>\n<p>Em casos graves (paciente acidentado por descarte irregular):<\/p>\n<ul>\n<li><strong>C\u00edvel<\/strong>: indeniza\u00e7\u00e3o (R$ 50-500k)<\/li>\n<li><strong>Criminal art. 56 Lei 9.605\/98<\/strong> (crime ambiental): 1-4 anos deten\u00e7\u00e3o<\/li>\n<li><strong>M\u00e9dico participa<\/strong> se conduta direta (n\u00e3o usou EPI, descartou errado)<\/li>\n<\/ul>\n<h2>Tabela 5 itens m\u00e9dico precisa saber<\/h2>\n<table>\n<thead>\n<tr>\n<th>Item<\/th>\n<th>M\u00ednimo necess\u00e1rio<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>1. 5 grupos RSS<\/td>\n<td>Identificar A, B, C, D, E<\/td>\n<\/tr>\n<tr>\n<td>2. Segrega\u00e7\u00e3o<\/td>\n<td>Onde descartar agulha, frasco, gaze<\/td>\n<\/tr>\n<tr>\n<td>3. EPI obrigat\u00f3rio<\/td>\n<td>Luva nitr\u00edlica, m\u00e1scara, \u00f3culos<\/td>\n<\/tr>\n<tr>\n<td>4. Acidente perfuro<\/td>\n<td>PEP HIV <2h + CAT<\/td>\n<\/tr>\n<tr>\n<td>5. Onde est\u00e1 o PGRSS<\/td>\n<td>Pasta amarela (script VISA)<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2>3 erros<\/h2>\n<ol>\n<li>&#8220;Administrador resolve&#8221; \u2014 corresponsabilidade CFM 2.147<\/li>\n<li>&#8220;CRM n\u00e3o cobra PGRSS&#8221; \u2014 cobra desde 2016<\/li>\n<li>&#8220;M\u00e9dico assistencial n\u00e3o responde&#8221; \u2014 responde solidariamente<\/li>\n<\/ol>\n<p><strong><a href=\"https:\/\/sevenresiduosaude.com.br\/orcamento\/\">Solicite capacita\u00e7\u00e3o PGRSS para m\u00e9dicos<\/a><\/strong> \u2014 treinamento NR-32 + protocolo + acesso ao plano.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Por que m\u00e9dico responde solidariamente em PGRSS. CFM + CLT + CRM den\u00fancia + responsabilidade t\u00e9cnica.<\/p>\n","protected":false},"author":3,"featured_media":1317,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[7],"tags":[2241,2240,1834,22],"class_list":["post-1318","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-compliance-legislacao","tag-administrador","tag-medico","tag-mito","tag-rdc-222"],"_links":{"self":[{"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/posts\/1318","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/comments?post=1318"}],"version-history":[{"count":1,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/posts\/1318\/revisions"}],"predecessor-version":[{"id":3900,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/posts\/1318\/revisions\/3900"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/media\/1317"}],"wp:attachment":[{"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/media?parent=1318"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/categories?post=1318"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/tags?post=1318"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}